Today, the Centers for Medicare & Medicaid Services (CMS) released several new publications on Medicaid long-term services and supports (LTSS) users and expenditures. These publications include LTSS rebalancing trends and patterns in users and expenditures for different home and community-based services (HCBS) and institutional care, nationally and across states for 2023. In addition to detailed tables of results and a methodology document, summaries of key findings are included in four brief reports, including the results of new data quality analyses to detect potential issues with the data used in the LTSS user and expenditure briefs and to support states with improving the accuracy and completeness of their data.
Some of the highlights from these publications include:
- 87.1 percent of LTSS users received HCBS in 2023.
- 63.8 percent of LTSS expenditures were for HCBS in 2023.
- In 2023, 8.4 million HCBS users accounted for $145.9 billion in HCBS spending, while 1.5 million institutional service users accounted for $82.7 billion in institutional spending.
Access the full reports at
https://www.medicaid.gov/medicaid/long-term-services-supports/reports-evaluations
In addition, CMS released a brief report providing updated data through December 31, 2023, on transitions of Medicaid beneficiaries from institutions to community living under the Money Follows the Person (MFP) Demonstration. The report summarizes progress under the Demonstration in transitioning eligible people to the community and increasing Medicaid support for community-based LTSS. The report shows that, from the time transitions began in calendar year (CY) 2008 to the end of CY 2023, MFP grant recipients transitioned over 127,000 people to community living through MFP. In CY 2022 and 2023, two target populations—older adults and people with physical disabilities—represented more than three-quarters of all transitions. Across MFP grant recipients, the annual number of MFP transitions increased by 77 percent between CY 2020 and 2023. The report is available at https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person/mfp-evaluation. For more information on MFP, visit https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person.
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